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HOH <br />��� <br />9H <br />��x <br />C, H <br />9Hfn <br />y <br />H�H <br />�t o <br />H xl <br />oxo <br />�fnH <br />Csf O lTl <br />H C7 <br />H C+7 O <br />�li V �i <br />9H� <br />t-� H y <br />O�H <br />�e� <br />�e�r <br />zym <br />HOcn <br />i �` <br />everett <br />� <br />City of Everett = <br />Sewer Application and P�rmi;t ::: <br />cf ; � <br />NO. '286`Z4 DATE •�,rch 3, 1987 - -. . <br />ServiceAddress .t�g�7��, T�, <br />Billing Address BE1C2 <br />City, State, Zip gveseEs kA- ��^' <br />Owner pT{1 J ?.ir�s1 <br />Connection by <br />Address , <br />Phone 254—''S37 <br />Legal Descripiion: <br />Lot <br />Block _ <br />Plat <br />Unplatted Description: <br />Type ot ?ermit <br />Remarks — <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSFECTION <br />SEE SKETCH A7TACHED <br />Uliliry Account No. <br />CHART N0. <br />TO POSTING �°_ �_ �_ <br />Permit Fee � }A.f38 <br />Conneclion Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W _ _ <br />Approved By _ <br />Issued By M <br />Customer Signature <br />Inspection By _ <br />Date Inspected <br />li�!�P�CTION <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />ft. <br />i��lio <br />� � /� <br />3-S-iL <br />No. ?_3624 <br />